National Provider Identifier [NPI]: |
1548523582 |
Last Name Of The Provider |
WHITE |
First Name Of The Provider |
ALANDA |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MSN,APRN,FNP-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9135 SCHAEFER RD STE 4 |
Street Address 2 Of The Provider |
|
City Of The Provider |
CONVERSE |
Zip Code Of The Provider |
781091980 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
226 |
Number Of Medicare Beneficiaries |
75 |
Total Submitted Charge Amount |
25526 |
Total Medicare Allowed Amount |
13955.44 |
Total Medicare Payment Amount |
8700.2 |
Total Medicare Standardized Payment Amount |
11446.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
23 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
525 |
Total Drug Medicare AllowedAmount |
133.17 |
Total Drug Medicare PaymentAmount |
128.71 |
Total Drug Medicare Standardized Payment Amount |
128.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
203 |
Number Of Medicare Beneficiaries With Medical Services |
74 |
Total Medical Submitted Charge Amount |
25001 |
Total Medical Medicare Allowed Amount |
13822.27 |
Total Medical Medicare Payment Amount |
8571.49 |
Total Medical Medicare Standardized Payment Amount |
11317.36 |
Average Age Of Beneficiaries |
61 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
32 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
47 |
Number Of Male Beneficiaries |
28 |
Number Of Non Hispanic White Beneficiaries |
25 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
44 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
21 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0651 |